Provider Demographics
NPI:1639530165
Name:POEHLMANN, KIMBERLY (DPT)
Entity Type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:
Last Name:POEHLMANN
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 S MAIN ST STE 101
Mailing Address - Street 2:
Mailing Address - City:COOPERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:18036-1966
Mailing Address - Country:US
Mailing Address - Phone:610-282-1170
Mailing Address - Fax:610-282-0256
Practice Address - Street 1:101 S MAIN ST STE 101
Practice Address - Street 2:
Practice Address - City:COOPERSBURG
Practice Address - State:PA
Practice Address - Zip Code:18036-1966
Practice Address - Country:US
Practice Address - Phone:610-282-1170
Practice Address - Fax:610-282-0256
Is Sole Proprietor?:No
Enumeration Date:2016-03-10
Last Update Date:2023-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic